Antithymocyte globulin・cyclosporin・methylprednisolone・granulocyte colony-stimulating factor併用療法が奏功した肝炎後重症再生不良性貧血の1例  [in Japanese] Combined antithmocyte globulin・methylprednisolone and granulocyte colony-stimulating factor are effective in a patient with hepatitis-associated severe aplastic anemia  [in Japanese]

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Author(s)

    • 三原 英嗣 MIHARA Hidetsugu
    • 愛知医科大学内科学講座(血液内科) Department of Internal Medicine, Division of Hematology, Aichi Medical University
    • 田島 恵美 TAJIMA Emi
    • 愛知医科大学内科学講座(血液内科) Department of Internal Medicine, Division of Hematology, Aichi Medical University
    • 佐藤 温 SATO Atsushi
    • 愛知医科大学内科学講座(血液内科) Department of Internal Medicine, Division of Hematology, Aichi Medical University
    • 今村 明 IMAMURA Akira
    • 愛知医科大学内科学講座(血液内科) Department of Internal Medicine, Division of Hematology, Aichi Medical University
    • 三輪 啓志 MIWA Hiroshi
    • 愛知医科大学内科学講座(血液内科) Department of Internal Medicine, Division of Hematology, Aichi Medical University
    • 加藤 芳郎 KATO Yoshiro
    • 愛知医科大学内科学講座(血液内科) Department of Internal Medicine, Division of Hematology, Aichi Medical University
    • 仁田 正和 NITTA Masakazu
    • 愛知医科大学内科学講座(血液内科) Department of Internal Medicine, Division of Hematology, Aichi Medical University

Abstract

22歳,男性.発熱出現,急性肝炎(A, B, C, D, G陰性)と診断され補液により肝機能改善. HSV, CMV, EBV,パルボウイルス,風疹,麻疹抗体価の上昇認めず. WBC 1,400/μl, Hb 12.1g/dl, Plt 22,000/μlと汎血球減少悪化. methylprednisolone (m-PLS)大量療法では反応せず.肝炎後重症再生不良性貧血と診断. Antithymocyte globulin (ATG)・cyclosporin (CyA)・m-PSL・granulocyte colony-stimulating factor (G-CSF)併用療法を行い寛解を得た.現在治療薬なしで寛解を維持している.

Journal

  • Nihon Naika Gakkai Zasshi

    Nihon Naika Gakkai Zasshi 91(3), 1036-1038, 2002-03-10

    The Japanese Society of Internal Medicine

Cited by:  1

Codes

  • NII Article ID (NAID)
    10008547370
  • NII NACSIS-CAT ID (NCID)
    AN00195836
  • Text Lang
    JPN
  • Article Type
    Journal Article
  • ISSN
    00215384
  • NDL Article ID
    025074607
  • NDL Call No.
    Z19-222
  • Data Source
    CJP  CJPref  NDL  J-STAGE 
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